HomeMy WebLinkAbout026-1114-10-000
FORM - STC - 104
AS BUILT SANITARY SYSTEM REPORT
TOWNSHIP gC-hr)20rjd
OWNER
jq~~~4 "7~-"
SECTION ~I T 6 N-R_Z W
ADDRESS ~S a J y s ^ ST. CROIX COUNTY, WISCONSIN
L!Z:1~2 LI t L
SUBDIVISION LOT LOT SIZE
PLAN VIEW
SHOW EVERYTHING WITHIN 10 FEET OF SYSTEM
ell
h
INDI ATE NO H ARROW
BENCHMARK: Elevation an description: Alternate benchmark
SEPTIC TAKK:Manufacturer: Liquid cap. ffe
Rings used: 0 Manhole cover elev: /e4S'S Final grade elev:
Tank inlet elev.: Tank outlet elev.:
No. of feet from nearest road:Front2&-, Side , Rear Ft.
From nearest prop. line: Front Side, Rear _Ft.
No. of feet from: Well 'f Building: ~',7
(Include this information in the above plot plan)
(2 reference dimensions to septic tank)
SEE REVERSE SIDE
k
l ~
PUMP CHAMBER
Manufacturer: Liquid Capacity:
Pump Model: Pump/Siphon Manufact.: Pump Size
Elevation of inlet: Bottom of tank elevation
Pump on elev.: Pump off elev.: Gallons/cycle:
Alarm: Man.: Switch Type: Location
Distance from nearest prop. line: Front_, Side, Rear-Ft.
Distance from: Well Building
SOIL ABSORPTION SYSTEM
Bed: Trench: Seepage Pit:
Width:. Z-2 Length ~5y Number of Lines:__,,Q Area Built
Exist. Grade Elev. D/, J Proposed Final Grade Elev.
Fill depth to top of pipe: 12, y
No. feet from nearest prop. line:Front Side /D , Rear Ft./O
No. feet from well:_ I
*.No. feet from building 96
HOLDING TANK
Manufacturer: Capacity:
No. of rings used: Elevation of bottom tank:
Elevation of inlet:
No. feet from nearest prop. line:Front , Side , Rear Ft.
No. feet from: Well , building , nearest road
Alarm Manufacturer:
INSPECTOR:
DATE: d /1 PLUMBER ON JOB:
LICENSE NUMBER;Oty S
6/90:cj
X414
Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM Lot 2 County:
Labor and Hunan Relations
SafAy and Buildings Division INSPECTION REPORTWi llow Riv r St. Croix
(ATTACH TO PERMIT)Meadows Sanitary Permit No.:
GENERAL INFORMATION NE4,SW4,Sec. 1,T30-R18,Co. Rd. GG 149193
State Plan ID No.:
Permit Holder's Name: ❑ City ❑ Village [Town of.
ns Richmond
CST BM Elev.: Insp. BM Elev.: B escrip on: Parcel Ta ryy,o
0
5
TANK INFORMATION Prop- ELEVATION DATA
I I
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic , 2-o Benchmark
Dosing
Aeration Bldg. Sewer
Holding St/ Inlet 8D~ GYJ,ds'~
TANK SETBACK INFORMATION St/ Outlet , (o
TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet
Air Intake
Septic XS-0 1 40 .13(0 ` NA Dt Bottom
Dosing NA Header /-I&dn- ,57 .OS'
Aeration NA Dist. Pipe IF y,
Holding Bot. System 5,66- 93,60
PUMP/ SIPHON INFORMATION Final Grade 1,/,03" 0
Manus Demand 5,T, V~ e l-,tce
Model Number GPM
TDH Lift Friction S TDH Ft
oss ea
Forcemain Length Did. Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length t No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS DIMEN I N
v Manufacturer:
SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING
INFORMATION Type O 1t, CHAMBER Model Number:
System: ( f GZ/ 03 OR UNIT
^i
DISTRIBUTION SYSTEM
Header,4WaegohJ Distribution Pipe(s) / x Hole Size x Hole Spacing Vent To Air Intake
rl
Length Di- Length ~ Dia. ~ Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched
Bed /Trench Center - 01 Bed/ Trench Edges Topsoil E] Yes C] No ❑ Yes E] No
COMMENTS: (Include code discrepancies, persons present, etc.)
Plan revision required? ❑ Yes 2-9-0*"
p [J I p
Use other side for additional information. g~ S.
SBD-6710 (R 05/91) Date inspector's Signature Cert. No.
77 Mill SANITARY PERMIT APPLICATION - COUNTY
ILHR In accord with ILHR 83.05, Wis. Adm. Code
zic: . m,,, o.
STATE SANITARY PE MIT
-Attach complete plans (to the county copy only) for the system, on paper not less than E3 ` 8% x 11 inches in size. check'
heck ir,"v?1s1/onctoo`pr-93v1ous application
-See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION.
PROPE TY OWNER PROPERTY LOCATION
'/a '/a, S T , N, R E (or~
PROPERTY OWNE MAILI G ADDRESS LOT # BLOCK
AlAi C!~.9 1 4X
CITY, STAT IZIPCODE PHONE NUMBER SUBDIVISI N E OR NUMBER
'in Fy
11. TYPE OF BUILDING: (Check one CI NEAREST ROA
) ❑ State Owned ❑ VILLAGE
❑ Public 01 or 2 Fam. Dwellings of bedrooms PARCEL TAX NUMBER(S)
Ill. BUILDING USE: (If building type is public, check all that apply)
1 ❑ Apt/Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining
4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash
5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify
IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1. ® New 2.0 Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an
System System Tank Only Existing System Existing System
B ❑ A Sanitary Permit was previously issued. Permit # - Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non-Pressurized Distribution Pressurized Distribution Experimental Other
11 ® Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy
13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy
14 ❑ System-In-Fill
VI. ABSORPTION SYSTEM INFORMATION:
1. GALLONS PER DAY 12. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE
REQUIRED (sq. ft.) PROPOSE~(sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION
? .l3 Feet 19 Feet
VII. TANK CAPACITY Site
in gallons Total # of Prefab. Fiber- Exper.
INFORMATION New xistin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
Tanks Tanks structed
Septic Tank or Holding Tank - r
Lift Pump Tank/Si hon Chamber
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for instaliatio onsite s age system shown on the attached plans.
PI is Sign ture: ( m ) MP/MPRSW No.: Business Phone Number:
Plu er' Na; t):
le- 45 Z, 7 72,! 5
SZZ ?s
um 's A dress (Street, ity, State ip Code77
IX. C NTY/D A THE T USE ONLY
❑ Disappro Sanitary Permit Fee (Includes Groundwater Date sue Issuing Agent Signature (No Stamps)
Surcharge Fee)
Approved E] Owner Gived ven Initial
Adverse Determination i
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber
APPLICATION FOR SANITARY PERMIT
. STC-100
This application form is to be completed in full and signed by the owner(s) of the
property being developed. Any inadequacies will only result in delays of the permit
issuance. Should this development be intended for resale by owner/contractor, ("spec
house"), then a second form should be retained and completed when the property is
sold and submitted to this office with the appropriate deed recording.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
41
I~ J O~ 1/ E llil<Gyf1EC.. --J/~YC`uS
Owner of property /L-L-loW
Locstion of Property N E k SAN 1c, Section , T 10 H-R 18' W
Township _C.{~/Lto ~1D .
Mailing Address '150 S P~4 ro s
h,Lw jetC+q MO 04 5Vo 17 .
Address of Site SQ MY
f l ew l 6-4-4m o µ 0,. \All .5(/O ! l
Subdi isivn !lase t-LOL.. __At1k9L. /v eAID0W
.Lot Number 2- _
'Previous Owner of property 67EIZj-fiAL 06 SG.b 44 17-
Total Size of Parcel 2. Ac z't f
Date Parcel was Created /0-/9-90
Are all corners and lot lines identifiable? x Yes No
to this property being developed for resale (spec house) ? Yes No
Volume S_ (0 and Page Number gg,(o as recorded with the Register of Deeds.
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
'A Warranty Deed which includes a Document number, volume and page number, and the
Seal of the Register of Deeds. In addition, a certified survev,,if ovAllabl•, would be
helpful so as to avoid delays of the reviewing process. If the deed description re(er-
ences to a Certified Survey Nap, the Certified Survey Map shall also be requited.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
PROPERTY OWNER CERTIFICATION
T (p►o) cmtE6y that aU ~statements on thins oAm ane tJtue to Vie best o6 my (ouh)
kncwtedge; that i Iwel am (cute) the ownen(s¢ o6 the phopehty de cAi.bed in this
.i"Aonma.ti.on 6o4m, by viAtue o6 a wcwtanty deed Aeeohded in the 06 ice o6 the
County Regaten o6 Deeds ah Document No. -/SSZ.o fo ; and that i fWe) pitehentty
awn ttAe p4apoaed site bon the sewage diApob bys em (o)t i (we) have obtained an
f"Emtnt, to nun with the above d6chtbed paopehty, 6oh the eonbthucti.on o6 adid
ayatvn, and the aame has been duty kecoaded .Ln the 066.tee o6 the County Reg.isten o6
Vetch, ab Ooerwnent No.
SL ATVRE OIL OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE)
DATE SIGNED DATE SIGNED
Irl lt•It tl~ r-1~7. WARRANTY DEED TIIIS SPACE RCSCRVED FOR RCCORDING DATA
ST:1T1:; BAIL ()F WISCO143IN F(►I2h1 `L-1982
455206
861PAGE4%
REGISTER'S OFFICE
Michael. R.-..Ste.vens, William H.. Derrick, ST. CROIX CO., WI
William..M....Derri,ck, Thomas. E.....Derrick and Recd for Record
Ronald. L.. Derrick as- tenants-in-common........... ,ANN xq IJ90
Of 8:30 M
conveys and l,.irrant:: to Willow. River..Joi.nt
Venture -
1twRegidar of Deed:
I
. RFTLIRN TO
the followincr, deseriNd real estate hi St. ..Croix ..................County,
State or Wisconsin:
Tax Parcel No:
Southeast Quarter of Northwest Quarter and Northeast Quarter
of Southwest Quarter of Section 1, Township 30 North, Range
18 West.
j rRp,NSFF
ArJrl
FE'S
Thk _ iS not...., . honlestcad I rop<rtc.
(is) (is not.)
Exception to warranties: municipal and zoning ordinances, easements and
restrictions of record.
Dated this ~~lU' ` day or _Janu ry. I 90.
SEAI.
Michael R. Stevens William M. Derrick
^.~...L..l r _ .(SEAT,)
William H. Derrick * Thomas E.~ De ick
_WVEjW
AUTHENTICATION Ona C *N MENT
t3it;natcu=.(;,) Michael_ R. Stevens, STATE OF WISCONSIN
William H. Derrick, William M. 55.
Derrick. -Thomas-.E.- Derrick-- and
Ronald L. De ck • ------------County.
. ay of...... January_, l9_94 Personally came before me this -.-....._--_..-day of
authenticated this
19- the above namcli
Judith A. Rem ngton
TITLE: MEMBER STATE BAR OP W1S ONSIN
(If not- - - - -
authorized by § 706.0(*,, V( is. Stnta.) to me known to be the person . who executed the
foregoing instrument and acknowledge the same.
THIS INSTRUMENT WAS DRAFTED BY
REMINGTON-_ LAW--OFFICES
.
~ 04hi h. Redmioyton
lc - mon 54017 Notary Public .County, Wis.
(Signatures may be authenticated or acl:no~tled^rd. Both My Commission is permanent. (If not, state expiration
are not necessary.) date: 19.........)
'Names of persons signing in nny rapacity shnold ho typc•.l n:' I.rinUvl flow Owir signnlores.
WARRANTY W-rl) STA'fli UAIt OF WISCONSIN ~5'isron:~in Lrgnl Itll~nl, f... I~~~~
603.51 80 7 425.10 ■
Outlot 1 Wi "o w
17
2.03 Awes 3 3 ~7 ACfBS o 9 ry
2.02 Acres
~Se River
N 16
p 2.01 Acres 19 88
2.02 Acres
$ dy
A s
Bt Meadows
369 2AGb//C q 20
\0 Sg 09 2S9 2.03 Acres
15 ry~• ~6
M 2.15 Acres 1 ° 279 SS ,3669 356
305 2.02 Acres
206 99 ryry 13 ' 21 0*
737 IS 2>0 2.18 Acres ' nNi 2.03 Acres
?2 83 v (0 m
in
? 7 ?r 361.13 0 v
9 M
cm 9 N 10 n 161.13 200 0) 283.18
2.01 Acres to 2.00 Acres O' oN N
11
2.00 Awes 12 22
2.01 Awes ~y 2.00 Awes N
206 214, 135.29 yro'
Public -15>
2£8 469.74
209
to (0 23
$ 7 2.00 Awes
by ~(j
N 2.00 Acres N 2.22 Acres
2~2 `'a sy~ m
~ N
289 206.30 24
504.30
0 9 'tea 2.00 Awes
v
628 h (P
2.02 Awes ° 2.27 Acres r 5
425.25 1yAA0 ~r
C o 818.33 'D ca
2 5 °
N 5 @! 0 y
2.01 ACre@ N y N 2.04 Awes
440.49 0) N 27
29 2.33 Awes
2.32 Awes
4 willow
2.0 Awes m River
478.33 1
250.57 19 . 6°j 799,5? 77.60 City of New Richmond
3 26 211. 9
N N 2'11 Awes a, Highway 64
2.30 Acres
507.06 30 426
228 200
211.03 2.06 Awes co
° e County Rd. GG
0
323.20
U
IIOQQ 32 33
o N = {p a:i 2.20 Awes N 1.94 Awes le
Z N (L N 31 N o n L
I AN. Acres N 2.03 Awes N+ v N _
200450 326.37 228
Highway GG
RRICK (715) 246-2320
Route 1
New Richmond
CONSTRUCTION ww."Y Wisconsin
SEPTIC '"ANK MALNTZMANCE AGREEMENT
.Sr.. Croix Cuuncv
IVI -WW 4 OL _~o lXrr v6kjUgig
OWNER/BUYER /liIS-404Et. R, 571EVE
ROUTE/BOX NUMBEIR 150S #WY `S Fire Number
CITY/STATEC KlL!/~dvl~JO~ ~~f/ ZIP 540/7
P^OPERTY LOCATION: Iq 't. SW Section ~ T 30 N, R W,
Town of A'/C.04 MoAJAO St. Croix County,
6v~u,o w ,P~v~~
Subdivision /U e7A4 ywS Lot number Z
Improper use and maintenance of your septic system could result in
its premature failure to handle wastes. Proper maintenance con-
sists of pumping out the septic tank every three years or sooner,
if needed, by a licensed seocic tank pumper. What you put into
the system can affect the Eunctiun of the septic tank as a treat-
ment stage in the waste disposal system.
St. Croix Councv residents may be eligible to receive a grant for
a maximum of 60% of the cost of replacement of a failing system,
which was in operation prior to July 1, 1978. St. Croix County
accepted this program in August of 1980, with the requireme•nc that
owners of all new systems agree to keep their systems properly
maintained.
The property owner agrees to submit to St. Croix County Zoning a
certification form, signed by the owner and by a master plumber,
journeyman plumber, restricted plumber or a licensed pumper veri-
fying that (1) the on-site wastewater disposal system is_in proper
operating condition and (2) after inspection and pumping (if nec-
essary), the septic tank is less than L/3 full of sludge and scum.
Certification form will be sent approximately 30 days prior to
three year expiration.
IIW E, the undersigned, have read the above requirements and agree
to maincain.the private sewage disposal system in accordance with
the standards sec forth; herein, as sec by the Wisconsin Depart-
menc of Natural Resources. Certification form must be completed
and returned to the St. Croix County Zoning Office within 30 days
of the three year expiration date. Q
SIC:dE0
DATE 9- 20 -9
St. Croix County Zoning Uff:ce
P.U. Sox _'_7
Hammond. '.JI 54015
iLS-796-'.=~9
5i.•zn. lar.- :inc{ rerrnr.n "n ahtjve address.
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDUSTRY, DIVISION
CABOR A AND PERCOLATION TESTS (115) P.O. BOX 7969
3707
- HUMAN RELATIONS MADISON, WI 53707
Y (ILHR 83.0911) & Chapter 145)
LOCATION: SECTION: TLOT NO.: BLK. NO. SUBDIVISION NAME:
1/4 SW V4 i /T 30 N/R 18 E (or) W Richmond. 2 n /a Willow River Meadows
MAILING ADDRESS:
COUNTY: OWNER'S ME:
St. Croix Derrick Construction 11505 Hy. #65, New Richmond, Wi.. 54017
USE DATES OBSERVATIONS MADE
baftesidence NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: 1PERCOLATION TESTS:
+New ❑Replace
9_19_91 9_19_91
4 n/a ~ l
RATING: S= Site suitable for system U= Site unsuitable for system
ONVENTIONAL: MOUND: IN-GROUND-PRESSURETEIS YSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM:(optional)
®S ❑U CAS 0 ~ ®S ❑U BU ❑ s EM conventional
If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the
under s. ILHR 83.09(5)(b), indicate: n/a Floodplain, indicate Floodplain elevation: n/a
decimal' PROFILE DESCRIPTIONS age 28 Sha
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTHX[X ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
1.08bl.1. .58bn.sil. .67bn.s.1. .50bn.l.s. 5.00bn E
B- 1 7.83 101.88 none >7.83 C. E.
B- 2 7.25 101.18 none >7.25 67bl.l. .58bn.sil. .58bn.s.1. .50bn.l.s. 4.92bn.c s.
B- 3 6.92 101.64 none >6.92 1.50bl.1. 1.00bn.sil. .75bn.s.l. 3.67bn.c.s.
B4 7.08 100.44 none >7.08 1.83bl.1. 1.00bn.sil. .75bn.s.l. 3.50bn.c.s.
-
B_ 5 6.82 100.03 none >6.82 1.00bl.l. 1.00bn.sil. .58bn.s.l. .33bn.1.s.3.33bn
C ,s
B-
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 PERIOD PER INCH
P_ 3.95 none 3 6 6 6 <
P_ 2 3.25 none 3 6 6 <3
P_ 3 3.61 none 3 6 6 6 <3
P
P-
P-
PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori-
zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent
of land slope.
SYSTEM ELEVATION 97.93
E
,
,
~0
fl. C_ 4~
Ih
74
i
i
( : I
r-r
r
F
o~ o '
1 ti
r ,
I f ~ I i f
1
[,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin
Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
NAME (print): TESTS WERE COMPLETED ON:
Gary L. Steel 9-19-91
ADDRESS: CERTIFICATION UMBER: PHONE NUMBER (optional):
1554 200th. AVe., New Richmond, Wi. 54017 2298 715-?,46-6200
CST SIGNATOV:
r
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DILHR-SBD-6395 (R. 10/83) - OVER -
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.0 b to
'A' xi~ ~krr►r.~ Frd►A Air Inlat• And OD►orro
w1v Ilan Plp►
/S`~C- GS ~^i^-- Appro.id Vent Cop
- y (Alnlmum 12* ADOre
Final Grade ,
20. 42' ADora Pipp _ 1' Coal Iron
To final Gloats Vent Pipe
Wren Nor Or SrnlMtk Covutny
uln 2' Aggregate
Over Plpe
DletrlDvllon
Plpe o 0 0 Toe
Aggregate
Beruellt Pipe ° perlorated Pipe Belo.
° -Co,Ving Torminoling At
Bollom Of sylsom
prop D
SOIL FILL
DISTRIBUTI01'.1 PIPE
r APPROVED ,SyWPETIC COVER
2~oFAGGREGATE MATfRI^l OR 9" of sTRXw
OR MARSI•r HA'j
t
ELEV. o Fi2ZVFEJET 'SA (eOF!Z-2t/2 AGGREGATE.
OISTRIFj'JTIOIJ PIPE TU BE AT LEAST IUCHES BELOW ORIGIIJAL GRADE
AUU AT LEASTLO IIJCHES. BUT 1.10 MORC THAM 42 IAICHES BELOW FIAJAL GRADE
PWImum DaprH OF F-XCAVATIOP FXOM ORIbWAL 69AVR WILL BE MCHES
nNIMUM O5F1"N of ExCAvATImN FROM. Clik'6NAL C3RAOf- WILL 0E WCHES
SIC,I,.ICO:
LIGE►JSC LJUMBER:
DATE:
T
1 1 O
10/07/2005 08:30 AM
Parcel 026-1114-10-000 PAGE 1 OF 1
Alt. Parcel 01.30.18.654 026 - TOWN OF RICHMOND
Current k ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
O - ARRE, FRANK & DENISE L
FRANK & DENISE L ARRE
1750 144TH ST
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 1750 144TH ST
SC 3962 NEW RICHMOND
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
Legal Description: Acres: 1.810 Plat: 2630-WILLOW RIVER MEADOWS
SEC 1 T30N R18W SE NW & NE SW LOT 2 OF Block/Condo Bldg: LOT 02
WILLOW RIVER MEADOWS 1.81 AC
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
01-30N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
05/27/2004 764073 2582/464 WD
07/23/1997 1233/182 WD
07/23/1997 929/74
2005 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 06/20/2002
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.810 44,100 172,300 216,400 NO
Totals for 2005:
General Property 1.810 44,100 172,300 216,400
Woodland 0.000 0 0
Totals for 2004:
General Property 1.810 44,100 172,300 216,400
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 143
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
DEPARTWENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDOSTRY, 1 DIVISION
P.O. BOX 76
LABOR AND PERCOLATION TESTS (115) MADISON WI 3707
HUMAN RELATIONS
(ILHR 83.09(1) & Chapter 145)
LOCATION: SECTION: TOWNS HI~kI. TY: LOT NO.: BLK. NO. SUBDIVISION NAME:
~/4 SW 1/4 1 /T 30 N/R 18 E (or) W Richmond. 2 n a Willow River Meadows
COUNTY: OWNER'S ME: MAILING ADDRESS:
St. Croix Derrick Construction 11505 Hy. 465, New Richmond, Wi.. 54017
USE DATES OBSERVATIONS MADE
NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCR TIONS: ER OLATION TESTS:
(X~Residence 4 n/a iiNew ❑Replace I 9-19-91 9-19-91
RATING: S= Site suitable for system U= Site unsuitable for system
ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional)
11 conventional
®S [_U 14S _]U ®S ❑U ❑ S [a ❑ S EA
r 1
If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the
under s. ILHR 83.09(5)(b), indicate: n/a Floodplain, indicate Floodplain elevation: n/a,
decimal' PROFILE DESCRIPTIONS age 28 Sha
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTHML ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
1.08bl.1. .58bn.sil. .67bn.s.1. .50bn.l.s. 5.00bn
B- 1 7.83 101.88 none >7.83 c•
B- 2 7.25 101.18 none >7.25 67bl.1. .58bn.sil. .58bn.s.l. .50bn.l.s. 4.92bn.c s.
3 6.92 101.64 none >6.92 1.50bl.1. 1.00bn.sil. .75bn.s.l. 3.67bn.c.s.
B-
B4 7.08 100.44 none >7.08 1.83bl.1. 1.00bn.sil. .75bn.s.1. 3.50bn.c.s.
-
B- 5 6.82 100.03 none >6.82 1.00bl.l. 1.00bn.sil. .58bn.s.l. .33bn.1.s.3.33bs
B-
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD I PERIOD2 Pt-R-ID PER INCH
P_ 3.95 none 3 6 6 6 3
P_ 2 3.25 none 3 6 6 6 <3
P- 3 3.61 none 3 6 6 6 <3
P-
P-
P-
PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori-
zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent
of land slope.
SYSTEM ELEVATION 97.93
E
I
E
E
E ,
2A
a ,
.moo
-
A
7'
a
I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and t i 'nsin
Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
NAME (print): TESTS WERE COMPLETED ON:
Gary L. Steel 9-19-91
ADDRESS: CERTIFICATION UMBER: PHONE NUMBER (optional):
1554 200th. AVe., New Richmond, Wi. 54017 2298 715-?46-6200
CST SIGNAT .
,
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DILHR-SBD-6395 (R. 10/83) -OVER -